{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T18:23:42Z","timestamp":1789237422997,"version":"build-2803163510"},"reference-count":8,"publisher":"Cambridge University Press (CUP)","issue":"4","license":[{"start":{"date-parts":[[2024,1,29]],"date-time":"2024-01-29T00:00:00Z","timestamp":1706486400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Behav. Cogn. Psychother."],"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S1352465823000656_as1\">\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Cognitive behavioural therapy for insomnia (CBT-I) is an effective treatment for chronic insomnia that also improves non-sleep symptoms, such as mood and anxiety. Identifying sleep-specific variables that predict anxiety change after CBT-I treatment may support alternative strategies when people with generalized anxiety disorder (GAD) do not improve from standard GAD treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1352465823000656_as2\">\n                    <jats:title>Aims:<\/jats:title>\n                    <jats:p>To investigate CBT-I on changes in anxiety and evaluate whether changes in sleep-specific variables predict anxiety outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1352465823000656_as3\">\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Seventy-two participants presenting with insomnia and GAD (GAD-I) completed four sessions of CBT-I. Participants completed daily diaries and self-report measures at baseline and post-treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1352465823000656_as4\">\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>CBT-I in a co\u2010morbid GAD-I sample was associated with medium reductions in anxiety, and large reductions in insomnia severity. Subjective insomnia severity and tendencies to ruminate in response to fatigue predicted post-treatment anxiety change, in addition to younger age and lower baseline anxiety.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1352465823000656_as5\">\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>The findings suggest that younger GAD-I participants with moderate anxiety symptoms may benefit most from the anxiety-relieving impact of CBT-I. Reducing perceived insomnia severity and the tendency to ruminate in response to fatigue may support reductions in anxiety in those with GAD-I.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/s1352465823000656","type":"journal-article","created":{"date-parts":[[2024,1,29]],"date-time":"2024-01-29T03:22:26Z","timestamp":1706498546000},"page":"456-460","source":"Crossref","is-referenced-by-count":6,"title":["Anxiolytic impact of cognitive behavioural therapy for insomnia in patients with co\u2010morbid insomnia and generalized anxiety disorder"],"prefix":"10.1017","volume":"52","author":[{"given":"Parky","family":"Lau","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elisha","family":"Starick","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Colleen E.","family":"Carney","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2024,1,29]]},"reference":[{"key":"S1352465823000656_ref1","doi-asserted-by":"crossref","first-page":"108","DOI":"10.1016\/j.janxdis.2007.01.002","article-title":"A meta-analysis of CBT for pathological worry among clients with GAD","volume":"22","author":"Covin","year":"2008","journal-title":"Journal of Anxiety Disorders"},{"key":"S1352465823000656_ref6","doi-asserted-by":"crossref","first-page":"e06473","DOI":"10.1016\/j.heliyon.2021.e06473","article-title":"Comparison of DASS-21, PHQ-8, and GAD-7 in a virtual behavioral health care setting","volume":"7","author":"Peters","year":"2021","journal-title":"Heliyon"},{"key":"S1352465823000656_ref2","doi-asserted-by":"crossref","first-page":"869","DOI":"10.1016\/S0005-7967(01)00061-4","article-title":"A cognitive model of insomnia","volume":"40","author":"Harvey","year":"2002","journal-title":"Behaviour Research and Therapy"},{"key":"S1352465823000656_ref4","doi-asserted-by":"crossref","first-page":"540","DOI":"10.1017\/S1352465821000023","article-title":"Cognitive behavioural therapy for insomnia for patients with co-morbid generalized anxiety disorder: an open trial on clinical outcomes and putative mechanisms","volume":"49","author":"Jansson-Fr\u00f6jmark","year":"2021","journal-title":"Behavioural and Cognitive Psychotherapy"},{"key":"S1352465823000656_ref8","doi-asserted-by":"crossref","first-page":"335","DOI":"10.1016\/0005-7967(94)00075-U","article-title":"The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scales (DASS) with the beck depression and anxiety inventories","volume":"33","author":"Lovibond","year":"1995","journal-title":"Behaviour Research and Therapy"},{"key":"S1352465823000656_ref5","volume-title":"Treatment Plans and Interventions for Insomnia: A Case Formulation Approach","author":"Manber","year":"2015"},{"key":"S1352465823000656_ref3","doi-asserted-by":"crossref","first-page":"96","DOI":"10.1016\/j.smrv.2018.10.006","article-title":"Insomnia as a predictor of mental disorders: a systematic review and meta-analysis","volume":"43","author":"Hertenstein","year":"2019","journal-title":"Sleep Medicine Reviews"},{"key":"S1352465823000656_ref7","doi-asserted-by":"crossref","first-page":"601","DOI":"10.1093\/sleep\/34.5.601","article-title":"The Insomnia Severity Index: psychometric indicators to detect insomnia cases and evaluate treatment response","volume":"34","author":"Morin","year":"2011","journal-title":"Sleep"}],"container-title":["Behavioural and Cognitive Psychotherapy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1352465823000656","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,7,11]],"date-time":"2024-07-11T06:09:57Z","timestamp":1720678197000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1352465823000656\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1,29]]},"references-count":8,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2024,7]]}},"alternative-id":["S1352465823000656"],"URL":"https:\/\/doi.org\/10.1017\/s1352465823000656","relation":{"is-referenced-by":[{"id-type":"doi","id":"10.32920\/29409803.v1","asserted-by":"object"},{"id-type":"doi","id":"10.32920\/29409803","asserted-by":"object"}]},"ISSN":["1352-4658","1469-1833"],"issn-type":[{"value":"1352-4658","type":"print"},{"value":"1469-1833","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,1,29]]}}}